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This is VAERS ID 276226

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276226
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner, via a company representative, concerning a female patient, who on 05-MAR-2007 was vaccinated with the first dose, IM, of Gardasil. Concomitant suspect therapy included Tdap. The nurse practitioner r"eported that /"a patient who received the 1 Gardasil in one arm and the Tdap vaccine in the other arm, fainted within a few seconds after being vaccinated./" The nurse practitioner states that /"the patient was fine after a minute or so./" The patient sou


Changed on 12/8/2009

276226 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA01266

Write-up:Information has been received from a nurse practitioner, via a company representative, concerning a female patient, who on 05-MAR-2007 was vaccinated with the first dose, IM, of Gardasil. Concomitant suspect therapy included Tdap. The nurse practitioner r"eported reported that /"a "a patient who received the 1 Gardasil in one arm and the Tdap vaccine in the other arm, fainted within a few seconds after being vaccinated./" vaccinated." The nurse practitioner states that /"the "the patient was fine after a minute or so./" so." The patient sou sought unspecified medical attention. Additional information has been requested.


Changed on 9/14/2017

276226 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01266

Write-up:Information has been received from a nurse practitioner, via a company representative, concerning a female patient, who on 05-MAR-2007 was vaccinated with the first dose, IM, of Gardasil. Concomitant suspect therapy included Tdap. The nurse practitioner reported that "a patient who received the 1 Gardasil in one arm and the Tdap vaccine in the other arm, fainted within a few seconds after being vaccinated." The nurse practitioner states that "the patient was fine after a minute or so." The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276226&WAYBACKHISTORY=ON


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